Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103TC1900X | Counseling Psychologist | ||
N | 103TM1800X | Intellectual & Developmental Disabilities | ||
Y | 103TS0200X | School Psychologist | 2424209 | IL |
NPI | 1083287841 |
---|---|
Provider Name | Dr. Kathleen Perline Cummings |
First Address | Chicago, IL 60657-6700 |
Second Address | Chicago, IL 60657-6700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2021 |
Last Update Date | 20/07/2021 |